1980, 07-28 Permit: 80-7779 GarageNUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
� LEGAL DESCRIPTION -SEE ATTACHED
1 E 19a02
LOT I BLOCKB ON PARCEL NUMBER/S 0 :R -/a/3
OWN
�.(� 1�
P; � .. 7( /!
i�C1bik— Cr�+l}\t��ienv
J
/ v / v t
3.
lJ'
,30'/70]1-0
ADDRESS ,,��t�,,"�
ZIP
Actual Set Backs in Feet
��
�� L)V cw-,�i
North South
East West
CONTRACTOR J�%
-6tt. 'Ce
PHONE , p
�J
Size of Parcel
Zone Classification
M at
lY lllc .
-3— 1590
. r
4.
ADDRESSAA t�
+�V l�L J_'� /
,
ZIP
p Const.
�✓
Occupancy
Sprinklered
❑Yes ❑No 1:1Req'd.
DESIGNER
PHONE
Valuation d�
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main FI or
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ALT. ❑ AWN. 1:1 RPL. ❑ MVE.
], OF ❑OTHER
WORK ❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL CERTIFICATE Req'd. I Recd. Not Reyyd.
of EXEMPTION
DESCRI E WO K Enum. Dist. Location (Area)
8 a FEES COLLECTED
VALUATIO0 SOU CE GAS �i E CTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public 11 Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 5l'Q.
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construc ' n
performance of construction. SEE REVERSE SIDE
fi�FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION / SI" T 31GNATURE OF APPLIC P �� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
N E DATE _,�, 1/ rke j� � Aw�Gn Plan Check
Env al %'71 I f l
S SEPA
I ng
Fire Marshall FAV i ��1 I � u vl '� ' ��17 Mobile Home
Co. Engineer
s Examiner
Other (Specify)
TOTAL $
PERMIT NUMBER
02* 50.00
'A 5000
50.00E
E *000
777.82
07-28-80
2 &t, 79.
I WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
uildi 'PT.-
PERMIT IS NONTRANSFERABLE �I 7 n P QQ �
_ �_-7/P%_0n 1. 2. b;_U!1
I
7.177
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